Glasgow coma scale Study guides, Class notes & Summaries

A client presents with a headache and complaining of vision difficulties. Which cranial nerve might be defective in this client? A) VIII (Vestibulocochlear) B) VII (Facial) C) XI (Accessory) D) III (Oculomotor) Answer: D A client presents to the ED with loss of consciousness. The RN evaluates the client using the Glasgow Coma Scale. The results are as follows: Eyes open to speech Abnormal flexion of extremities Use of inappropriate words What would the RN estimate this clie...

ATI RN MENTAL HEALTH 2019 WITH NGN 100% PASS WITH RATIONALES LATEST UPDATES QUESTION AND ANSWERS. A charge nurse is discussing mental status exams with a newly licensed nurse. Which of the following statements by the newly licensed nurse indicates an understanding of the teaching? (Select all that apply) A. "To assess cognitive ability, I should ask the client to count backward by sevens." B. "To assess affect, I should observe the client's facial expression." C. "To assess language ...

A 30-year-old male experienced a generalized (tonic-clonic) seizure, which stopped before you arrived at the scene. The patient is conscious, is answering your questions appropriately, and refuses EMS transport. Which of the following would be the MOST compelling reason to disagree with his refusal of transport? Select one: A. His Glasgow Coma Scale (GCS) score is 15 B. His wife states that this was his "usual" seizure C. He has experienced seizures since he was 20 D. He is currently not ...

MEDSURG VATI ASSESSMENT | 70 Questions with 100% Correct Answers | Latest Update | Verified A nurse is assisting with the care of four clients. Which of the following clients is the priority for the nurse to see -A client who has chest tubes and an oxygen Sat of 90% - aclient who has peripheral edema and urinary output of 130 over 4hrs - A client who has a permanent pacemaker with heart rate of 76/min -a client who has pericarditis and temp. 38 c 100.4 - - A client who has chest tubes an...

ATI RN Mental Health Proctored 2019 exam | Questions and Answers | LATEST 2021 / 2022 A charge nurse is discussing mental status exams with a newly licensed nurse. Which of the following statements by the newly licensed nurse indicates an understanding of the teaching? (Select all that apply). A. "To assess cognitive ability, I should ask the client to count backward by sevens." B. "To assess affect, I should observe the client's facial expression. C. "To assess language ability, I ...

2024 NUR HESI EXIT RN CAT EXAM QUESTIONS& ANSWERS 100%correct/verified Graded A+ NGN A client who had an intraosseous (IO) cannula placed by the healthcare providerfor an emergent fluid resuscitation is complaining of severe pain and numbness below the IO site. The skin around the site is pale and edematous. What action should the nurse takes first? a.Discontinue the IO infusion b.Administer an analgesic via the IO site c.Elevate the extremity with the IO site d.Notify the healthcar...

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1. A 24 year old male pedestrian, struck by an automobile, is admitted to the emergency department 1 hour after injury. His blood pressure is 80/60 mmHg, heart rate 140 beats per minute and respiratory rate is 36 per minute. He is lethargic. Oxygen is delivered via face mask, and two large-caliber IVs are initiated. Arterial blood gases are obtained. His PaO2 is 118 mmHg, PaCO2 is 30 mmHg, and pH is 7.21. The treatment of his acid-base disorder is best accomplished by: A. Hyperventi...

A client is comatose upon arrival to the emergency department after falling a roof. The client flexes with painful stimuli, and the nurse determines the client's Glasgow Coma Scale (GCS) is 6. Which intervention should the nurse prepare to implement to maintain the client's airway? - Answer- A nasopharyngeal tube A client is receiving a continuous half strength tube feeding at 50 ml/hr. To prepare enough of the solution for eight hours, how many ml of full strength feeding will the nurse ne...

CRITICAL CARE FINAL EXAM PRACTICE QUESTIONS AND CORRECT ANSWERS 2023/2024 a,d,e,f - CORRECT ANSWER-A client with a primary brain tumor has developed syndrome of inappropriate secretion of antidiuretic hormone (SIADH). The nurse will expect to see which clinical findings upon assessment? (Select all that apply). a. Nausea and vomiting b. Hyperthermia c. Bradycardia d. Increased weight e. Decreased serum sodium f. Decreased level of consciousness a,b - CORRECT ANSWER-A nurse is car...